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In Bangladesh, the O Level qualification is offered, with examinations conducted by Cambridge International Examinations (CIE) under the board of British Council. O Level qualification has become a replacement for the matriculation qualification (SSC) offered by the Government boards of education. However, due to the high costs associated with O Level qualifications, their reach is limited to middle to elite class families.

A number of subjects, including English Language, Bahasa Melayu(Malay language), Malay Literature, Islamic Religious Knowledge, Ulum al-Quran, Hafaz al-Quran, Tafsir al-Quran (Asas), History, Geography, Pure sciences ( Physics, Chemistry and Biology), Arabic, Art and Design, offer exam papers and syllabuses unique to Brunei. Additionally, the Mathematics (Syllabus D) subject previously offered an exam paper and a syllabus unique to Brunei, but this has since been retired and the regular syllabus used worldwide is offered. This is equivalent to secondary education now.

The English Language subject was previously offered with an exam paper and a syllabus unique to Malaysia, but this Malaysia-specific qualification has since expired, and the regular English Language exam paper and syllabus used worldwide is now used within the country. The English paper is separately graded by the national examination board and UCLES, and both grades are displayed on the result slip.

A number of subjects, including English Language, English Language (Syllabus B), History, Mathematics (Syllabus A), Mathematics (Syllabus D), offer exam papers and syllabuses unique to Mauritius. Additionally, the subject of Art and Design, the offering of which is restricted to a limited geographic region, is available in Mauritius.

The GCE O Level qualification is offered in Pakistan by the CIE and conducted by the British Council. O Level qualification has become a replacement for the matriculation qualification offered by the Government boards of education. Due to the high costs associated with O Level qualifications, their reach is limited to middle to elite class families.Pakistan's student Syed Muhammad Mazan topped in World Cies in 2018.date=May 2017}} [5]

In Seychelles, the O Level qualification is offered, with examinations conducted by Cambridge International Examinations (CIE). Some subjects are unique to Seychelles or have a format, curriculum, or syllabus that is unique to Seychelles.

A number of subjects previously offered exam papers and syllabuses unique to Singapore, but these have since been retired or planned to be phased out. After taking O-levels, some Singapore students go on to GCE Advanced Level exams, which are also marked by Cambridge International Examinations. In 2024, the O levels as well as the N levels will be phased out for a new local examination.

The GCE Ordinary Level qualification is offered by the British council of Sri Lanka School (BCS).[6] Before, this qualification was jointly offered by Cambridge International Examinations and the Ministry of Education in Sri Lanka.

The GCE Ordinary Level qualification is offered by the Zimbabwe School Examinations Council (ZIMSEC).[7] Before, this qualification was jointly offered by Cambridge International Examinations and the Ministry of Education in Zimbabwe.

The O Level qualification was previously awarded in the Caribbean. However, many Caribbean countries have now switched to awarding Caribbean Secondary Education Certification (CSEC) qualifications based on successful completion of examinations administered by the Caribbean Examinations Council (CXC).

The O Level qualification was previously awarded in Hong Kong, along with the Hong Kong version of the A Level qualification. However, this was replaced with the Hong Kong Certificate of Education Examination (HKCEE) which was then replaced with the Hong Kong Diploma of Secondary Education (HKDSE). The HKCEE was previously benchmarked against the O Levels for comparable subjects, but with the introduction of the International General Certificate of Secondary Education (IGCSE) qualification the Hong Kong equivalent qualification was then benchmarked against the IGCSE.